Evidence map›Paper›PMID 24962016›Full record

ArticleLeukemia2015

Second cancers and late mortality in Australian children treated by allogeneic HSCT for haematological malignancy.

A S Nelson, L J Ashton, C M Vajdic, R E Le Marsney, B Daniels, I Nivison-Smith, L Wilcox, A J Dodds, T A O'Brien, CAST study investigators

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PubMed Publisher
In one paragraph

Article in Leukemia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  14. National Institutes of Health Hematopoietic Cell Transplantation Late Effects Initiative: The Subsequent Neoplasms Working Group Report.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

A S Nelson1] Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia [2] School of Women's & Children's Health, Faculty of Medicine, University of New South Wales, Randwick, New South Wales, Australia.
L J AshtonResearch Portfolio, University of Sydney, Sydney, New South Wales, Australia.
C M VajdicPrince of Wales Clinical School, Lowy Cancer Research Centre, University of New South Wales, Randwick, New South Wales, Australia.
R E Le MarsneyChildren's Cancer Institute Australia for Medical Research, Lowy Cancer Centre, University of New South Wales, Randwick, New South Wales, Australia.
B DanielsPrince of Wales Clinical School, Lowy Cancer Research Centre, University of New South Wales, Randwick, New South Wales, Australia.
I Nivison-SmithAustralasian Bone Marrow Transplant Recipient Registry, Darlinghurst, New South Wales, Australia.
L WilcoxAustralasian Bone Marrow Transplant Recipient Registry, Darlinghurst, New South Wales, Australia.
A J DoddsDepartment of Haematology and Stem Cell Transplantation, St Vincents Hospital, Darlinghurst, New South Wales, Australia.
T A O'Brien1] Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia [2] School of Women's & Children's Health, Faculty of Medicine, University of New South Wales, Randwick, New South Wales, Australia.
CAST study investigators
UNSW Sydney · AUAustralia and New Zealand Dialysis and Transplant Registry · AUChildren's Cancer Institute Australia · AUSt Vincent's Hospital Sydney · AUSydney Children's Hospital · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examined risk of second cancer and late mortality in a population-based Australian cohort of 717 pediatric allogeneic stem cell transplant (HSCT) recipients treated for a malignant disease during 1982-2007. Record linkage with population-based death and cancer registries identified 17 second cancers at a median of 7.9 years post HSCT; thyroid cancer being the most common malignancy (n=8). The cumulative incidence of second cancer was 8.7% at follow-up, and second cancers occurred 20 times more often than in the general population (standardised incidence ratio 20.3, 95% confidence interval (CI)=12.6-32.7). Transplantation using radiation-based conditioning regimens was associated with increased second cancer risk. A total of 367 patients survived for at least 2 years post HSCT and of these 44 (12%) died at a median of 3.1 years after HSCT. Relapse was the most common cause of late mortality (n=32). The cumulative incidence of late mortality was 14.7%. The observed rate of late mortality was 36 times greater than in the matched general population (standardised mortality ratio 35.9, 95% CI=26.7-48.3). Recipients who relapsed or who had radiation-based conditioning regimens were at higher risk of late mortality. Second cancers and late mortality continue to be a risk for pediatric patients undergoing HSCT, and these results highlight the need for effective screening and survivorship programs.

Indexed as

AdolescentAustraliaChildChild, PreschoolCohort StudiesFemaleGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansIncidenceInfantMaleNeoplasm Recurrence, LocalNeoplasms, Second PrimaryPrecursor Cell Lymphoblastic Leukemia-Lymphoma

Identifiers

PMID24962016
OpenAlexW2039715386

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.